Literature Review

What 13 CEOs told Becker's about their 2025 strategiesBecker's Hospital Review; by Kelly Gooch, Kristin Kuchno; 12/20/24Hospital and health system CEOs are leading organizations through growth and adaptation to meet the demands of an evolving healthcare landscape. Amid these efforts, 13 healthcare executives shared their thoughts on healthcare strategy with Becker's, addressing topics ranging from financial challenges to partnerships with community organizations and other healthcare institutions. Below is a sampling of insights obtained from CEOs throughout the past year, representing systems with national footprints and critical access hospitals serving local communities.

What hospital CEOs are reading to prepare for the futureBecker's Hospital Review; by Kelly Gooch; 12/18/24Hospital and health system CEOs must think strategically to prepare their organization for success over the long term. Becker's regular series of conversations with CEOs of the nation's health systems poses a variety of questions, including what leaders are reading to prepare for the next three to 10 years. Here are answers collected this year.

25 Hospital closures in 2024 Becker's Hospital CFO Report; by Madeline Ashley; updated 12/27/24, 3:06 pm CT Many hospitals and emergency departments have been forced to close in 2024 due to circumstances like high costs and shifts in care needs. Becker's has reported on 25 hospital and emergency department closures in 2024. [Click on the title's link to view the list.]

U.S. health care spending reaches $4.9 trillion Hospice News; by Jim Parker; 12/20/24 The nation’s total health expenditures rose 7.5% to $4.9 trillion in 2023, a new analysis by the U.S. Centers for Medicare & Medicaid Services (CMS) found. This growth took place at a faster pace in 2023 than prior years. In 2022, health care spending rose at a rate of 4.6%. Total Medicare hospice spending accounted for $25.7 billion last year, according to a separate report from the Medicare Payment Advisory Commission (MedPAC). ... About 21% of U.S. health care spending in 2023 was via Medicare, with private insurance representing a 30% share. Medicaid accounted for 21%, and the remaining 10% were out-of-pocket costs. “Hospital care, physician and clinical services, and nursing care facilities and continuing care retirement communities, which collectively accounted for 33% of all out-of-pocket spending in 2023, were the main contributors to the faster growth in 2023,” CMS indicated.

How UCSF Health is rebuilding an 'instrumental' management layer Becker's Hospital Review; by Kelly Gooch; 12/17/24Middle managers have long played a crucial role in industries across the U.S. However, a November article from global management consulting firm Korn Ferry describes "a disappearing layer of middle management," particularly among professional-service firms that are "delayering" to improve flexibility and responsiveness. ...  [Data] shows that in 2023, middle managers accounted for 31.5% of all layoffs, with an average of 22% between 2018 and 2022. While Mitul Modi, Korn Ferry senior client partner in the firm's global healthcare services practice, said layoffs of managers have occurred at various health systems in 2024, he told Becker's he is not seeing this occur with patient-facing roles. Instead, he has observed an increased emphasis on developing middle managers. ... One example of this is San Francisco-based UCSF Health. ... UCSF Health's efforts center around investing in a management core training program.[Click on the title's link to continue reading.]

Health gap at end of life is now wider in US than any other country Science Alert - Health; by Carly Cassella; 12/16/24 A data-crunching survey covering 183 member nations of the World Health Organization has now confirmed what some scientists feared: while years are being added to most people's lives, healthy life is not being added to most people's year. Researchers at the Mayo Clinic found that people around the world in 2019 were living 9.6 years of life burdened by disability or disease – an increase of 13 percent from 2000. In that same time frame, global life expectancy has increased 6.5 years, and yet health-adjusted life expectancy has only increased 5.4 years. In the US, the gap between lifespan and 'healthspan' is growing particularly wide. Between 2000 and 2019, life expectancy in the US increased from 79.2 to 80.7 years for women, and from 74.1 to 76.3 years for men. When adjusting for healthy years of added life, however, the span only increased by 0.6 years among men. And among women, while health-adjusted life expectancy fluctuated slightly over time, in 2019 it matched the figure seen in 2000. The expanding gap means if an American woman lived to the expected 80.7 years of age, the last 12.4 years of her life would on average be impacted by disease or disability.

Characteristics of patients enrolled in hospice presenting to the emergency department American Journal of Emergency Medicine; by Kayla P Carpenter, Fernanda Bellolio, Cory Ingram, Aaron B Klassen, Sarayna S McGuire, Alisha A Morgan, Aidan F Mullan, Alexander D Ginsburg; 12/9/24, online ahead of print Emergency Departments (EDs) frequently care for patients with life-limiting illnesses, with nearly 1 in 5 patients enrolled in hospice presenting to an ED during their hospice enrollment. This study investigates the reasons patients enrolled in hospice seek care in the ED, the interventions they receive, and their outcomes. ... Patients enrolled in hospice most frequently presented to the ED for trauma [36%; with 15% for pain, 12% for catheter/tube malfunction]. Most received laboratory studies and imaging. Nearly half of patients were admitted to the hospital and short-term mortality was high, particularly for patients enrolled in hospice for needs for ED care? Ie.,

Humana in the headlines: 10 updates Becker's Payer Issues; by Andrew Cass; 12/10/24 From Cigna quashing merger speculation to naming a new CFO, here are 10 updates on Humana that Becker's has reported since Oct. 30: 

University of Michigan Health-Sparrow nurses authorize strike as contract negotiations continue CBS News, Detroit, MI; by Elle Meyers; 12/12/24 Union officials representing the University of Michigan Health-Sparrow nursing staff have been working for months for an improved contract, but leaders say they're not close to a deal. "The hospital so far is not making offers that are going to keep up competitive. It's not going to allow us to make sure we maintain our level of care or quality of care," said Jeff Breslin, a registered nurse and the president of the Professional Employees Council of Sparrow Hospital. The University of Michigan bought Sparrow last April. Bresil says he was hopeful for positive change. "They had promised to come in and build new facilities, improve other facilities that we have, which is great, but you've got to take care of the people as well, and frankly, I'm disappointed that this is the direction things are taking," he said. Breslin said contract negotiations between the nurse's union and the hospital began last August. Their contract expired in October, and they still haven't reached a deal. He says nurses want to see more competitive pay, better staffing levels and an improved health plan. 

Vitas Healthcare unveils inpatient hospice unit at Franciscan Health Olympia Fields GlobeNewswire, Chicago, IL; Press release; 12/12/24 Residents of Olympia Fields and Chicagoland’s surrounding southern suburban communities can now access quality end-of-life care at the VITAS Healthcare Inpatient Hospice Unit at Franciscan Health Olympia Fields. Located on the second floor of the hospital at 20201 South Crawford Ave., this new facility is expected to serve more than 500 seriously ill patients each year. “We are grateful to have this hospice unit as part of our hospital campus, where we can provide compassionate care to patients and families during one of life’s most sacred and challenging times,” said Raymond Grady, president and chief executive officer of Franciscan Health Olympia Fields. “This unit meets a critical need in our community, offering comfort, dignity and spiritual support to those at the end of life.”

Watch: ‘Going It Alone’ — A conversation about growing old in AmericaKFF Health News; by Judith Graham; 12/11/24 KFF Health News’ “Navigating Aging” columnist, Judith Graham, spent six months this year talking to older adults who live alone by choice or by circumstance — most commonly, a spouse’s death. They shared their hopes and fears, challenges, and strategies for aging solo. Graham moderated a live event on Dec. 11, hosted by KFF Health News and The John A. Hartford Foundation. She invited five seniors ranging in age from 71 to 102 and from across the country — from Seattle; Chicago; Asheville, North Carolina; New York City; and rural Maine — to talk candidly about the ways they are thriving at this stage of life.

Caring for emotional and spiritual needs of ICU families Medical Xpress; by Regenstrief Institute; 12/10/24 Family members of intensive care unit (ICU) patients often experience psychological and spiritual distress as they deal with serious illness and potential death. A new paper authored by a national team of experts at the intersection of health and spirituality highlights the critical role of the spiritual care provided by chaplains in supporting family members of ICU patients. ... "Our model describes three important ways that chaplain care supports ICU family members and helps them when faced with difficult decisions," said study co-author and chaplain-researcher George Fitchett, DMin, Ph.D., professor of religion, health and human values at Rush University Medical Center. "Chaplains provide family members with spiritual and emotional support. They also facilitate conversation with the medical team and help family members process the information from those conversations. Significantly, our study highlights the care provided by chaplains to ICU patient families and its impact on important outcomes." Editor's note: Click here for Improving Outcomes for for ICU Family Members: The Role of Spiritual Care, published in the Journal of Palliative Medicine, Oct 2024.